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General NPI Number Information
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NPI Number | 1912420837
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Entity Type | Individual
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Provider Name | SCOTT DANIEL LAWLER PA
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Gender | Male
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Dates
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Enumeration Date | 07/23/2017
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Last Update Date | 07/23/2017
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Provider Practice Location Address
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Address Line | 1625 SCHRADER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90028-6213
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Country | US
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Telephone | 323-993-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S ORLANDO AVE APT 202
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City | LOS ANGELES
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State | CA
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Zip | 90048-4197
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Country | US
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Telephone | 202-207-6171
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 54589
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License Number State | CA
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